Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Bethany Amanda Peterson, NP-C

Individual provider Family Nurse Practitioner · NPI 1144827957

Mrs. Bethany Amanda Peterson, NP-C is a Nurse Practitioner in Columbus, Georgia. Qualified in 2019, 7 years ago. Practices with Renal Associates of Lagrange LLC, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama and Georgia.

Years since qualifying
7
Licensed in
AL, GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

6228 Bradley Park Dr Ste A
Columbus, GA 31904-3605
Phone: (706) 322-1486
Fax: (706) 324-3419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3368 Highway 280 Ste 120, Alexander City, AL 35010-3375 — (256) 392-5282
  • 42 Mitylene Park Ln, Montgomery, AL 36117-7306 — (334) 603-6626
  • 1216 Stark Ave, Columbus, GA 31906-2500 — (706) 320-0801

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN213705 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-130643 (AL)

Record details

NPI number1144827957
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Renal Associates Of Lagrange Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbus